| NPI | 1407270465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7208) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health (Licence: WI 7208) | |
| 101YP2500X Counselor, Professional (Licence: WI 7208-125) | |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2024-07-05 |